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1790213262
KENDALL L. MOODY
NORFOLK, VA
NPI
1790213262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904009833)
Enumeration Date
2017-05-30
Last Update Date
2017-05-30
Business Address
KENDALL L. MOODY LCSW
5900 E VIRGINIA BEACH BLVD STE 619
NORFOLK, VA 23502-2490
Phone number: 757-647-5695
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Mailing Address
KENDALL L. MOODY LCSW
1992 BIZZONE CIR
VIRGINIA BEACH, VA 23464-1538
Phone number: 757-647-5695
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